Mea Kākau: William Ramirez
Lā O Ka Hana: 19 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 21 Iune 2024
Anonim
SPIRIT2 trial on dasatinib for AML - safety and side effect management
Wikiō: SPIRIT2 trial on dasatinib for AML - safety and side effect management

Anter

Hoʻohana ʻia ʻo Dasatinib e mālama i kekahi ʻano o ka leukemia myeloid maʻi mau (CML; kahi ʻano maʻi ʻaʻai o nā hunaola keʻokeʻo) ma ke ʻano he lapaʻau mua a i ka poʻe ʻaʻole hiki ke loaʻa pono hou mai nā lāʻau leukemia ʻē aʻe me imatinib (Gleevec) a i ʻole i ka poʻe ʻaʻole hiki ke lawe i kēia mau lāʻau no ka hopena o ka hopena. Hoʻohana ʻia ʻo Dasatinib e mālama i kekahi ʻano CML mau i nā keiki. Hoʻohana ʻia ʻo Dasatinib e mālama i kekahi ʻano leukemia lymphoblastic huikau (ALL; kahi ʻano maʻi ʻaʻai o nā hunaola keʻokeʻo) i ka poʻe i hiki ʻole ke kōkua hou ʻia mai nā lāʻau leukemia ʻē aʻe a i ʻole hiki ʻole ke lawe i kēia mau lāʻau no ka hopena. Aia ʻo Dasatinib i kahi papa o nā lāʻau i kapa ʻia nā kinase inhibitors. Hana ia ma ke kāpae ʻana i ka hana o kahi protein pono ʻole e hōʻailona ai i nā hunaola maʻi ʻaʻai e hoʻonui. Kōkua kēia i ka hōʻoki ʻana i nā hunaola maʻi ʻaʻai.

Hele mai ʻo Dasatinib ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā, i ke kakahiaka a i ʻole ke ahiahi, me ka ʻole o ka meaʻai. Lawe iā dasatinib ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe iā dasatinib e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


E ale i nā papa holoʻokoʻa; mai hoʻokaʻawale, a nau aku, a hoka ʻole iā lākou. E komo i nā mikina latina a nitrile paha i ka lawelawe ʻana i nā papa i ʻulupā a haki ʻia paha e pale i ka launa ʻana me ka lāʻau.

Hiki i kāu kauka ke hoʻoponopono i kāu lāʻau a i ʻole hoʻokū mau i kāu mālama ʻana o dasatinib ma muli o kāu pane i ka lāʻau a me nā hopena ʻē aʻe āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano i kāu mālama ʻana. E hoʻomau i ka lawe ʻana i ka dasatinib inā ʻoe e manaʻo maikaʻi. Mai hoʻōki i ka lawe ʻana i ka dasatinib me ke kamaʻilio ʻole ʻana me kāu kauka.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i dasatinib,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka dasatinib, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i nā papa dasatinib. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E hōʻoia e haʻi i kekahi o kēia mau mea: anticoagulants ('' nā mea hōʻemi koko '') e like me warfarin (Coumadin, Jantoven); nā lāʻau antracycline no ka maʻi ʻaʻai e like me daunorubicin (Cerubidine), doxorubicin (Doxil), a me epirubicin (Ellence); kekahi mau antifungals e like me ketoconazole (Nizoral), itraconazole (Onmel, Sporanox), a me voriconazole (Vfend); clarithromycin (Biaxin, i PrevPac); dexamethasone; kekahi mau lāʻau i hoʻohana ʻia e mālama ai i ka maʻi pale maʻi kanaka (HIV) e like me atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), a me saquinavir (Invirase); kekahi mau lāʻau no ke kuʻi puʻuwai ʻole e like me amiodarone (Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), mexiletine (Mexitil), procainamide, propafenone (Rythmol), quinidine (i Nuedexol), ʻO Betapace, Betapace AF, Sorine), nā lāʻau e hōʻemi i ka waikawa ʻōpū e like me cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), ranitidine (Zantac), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), a me rabeprazole (AcipHex); nefazodone; rifampin (Rimactane, Rifadin, ma Rifater, ma Rifamate); a me telithromycin (Ketek); Nui paha nā lāʻau ʻē aʻe e launa pū paha me dasatinib, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • inā ʻoe e lawe i nā antacids, e like me ka aluminium hydroxide / magnesium hydroxide (Maalox), calcium carbonate (Tums), a i ʻole calcium carbonate a me ka magnesium (Rolaids), lawe iā lākou i 2 mau hola ma mua a i ʻole 2 mau hola ma hope o kou lawe ʻana i ka dasatinib.
  • e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka lactose intolerance (hiki ʻole ke ʻeli i nā huahana waiū), nā haʻahaʻa haʻahaʻa o ka potassium a me ka magnesium i loko o kou koko, ka maʻi QT lōʻihi (kahi ʻano puʻuwai e hoʻonāukiuki paha, maʻule paha, a i ʻole ke kuʻi puʻuwai ʻole), nā pilikia me kou ʻōnaehana pale, a me ke akepaʻa, akemāmā, a me nā maʻi puʻuwai.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. ʻAʻole pono ʻoe e hāpai i ka wā e lawe ana ʻoe i ka dasatinib a no 30 mau lā ma hope o kāu hopena hope loa. E kamaʻilio me kāu kauka e pili ana i nā hana kaohi hānau e holo pono nāu. Inā hāpai ʻoe i ka lawe ʻana i ka dasatinib, e kāhea i kāu kauka. ʻAʻole pono nā wahine hāpai e lawelawe i nā papa dasatinib haki a haki paha. Hoʻopilikia paha ʻo Dasatinib i ka fetus.
  • mai hānai i ka wā e lawe ana i ka dasatinib a no 2 mau pule ma hope o kāu hopena hope loa.
  • pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne a me nā wahine. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i dasatinib.
  • inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka dasatinib.

Mai ʻai i ka hua waina a i ʻole inu i ka wai huaʻulu i ka wā e lawe ana i kēia lāʻau.


E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Dasatinib i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻeha mākala
  • nāwaliwali
  • ʻeha pū
  • ʻeha, puhi a ʻūlū paha i nā lima a me nā wāwae
  • hūwī
  • ʻulaʻula ʻili
  • ʻili peeling
  • pehu, ʻulaʻula, a ʻeha ma loko o ka waha
  • ʻeha nā waha
  • pāhoehoe
  • nausea
  • ka luaʻi
  • kōpaʻa
  • ʻeha o ka ʻōpū a huʻi paha
  • nalo ʻai ʻole
  • Kaumaha emi

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • fiva, ʻeha ka ʻāʻī, haʻalulu, a me / a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • ka pehu o nā maka, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • loaʻa kaumaha kaumaha
  • paʻakikī ka hanu ʻana, keu hoʻi i ka wā e moe ana i lalo
  • ke kuʻi nei i ka momona a i ʻole ka mucus koko
  • ʻūhū maloʻo
  • ʻehaʻeha o ka umauma e lilo i mea ʻoi aku ke ʻoka, kahe ʻana, a me ka hanu nui ʻana
  • puʻuwai umauma
  • ʻūpā
  • maule ana
  • wikiwiki, kūlike ʻole, a kuʻi paha i ka puʻuwai puʻuwai
  • ʻeha poʻo
  • luhi
  • huikau
  • hoʻonui umauma hānai (i nā keiki)
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • pahu noho ʻeleʻele a lohi hoʻi
  • koko ʻulaʻula i nā noho
  • luaʻi koko
  • mea luaʻi e like me ke kahua kope
  • ʻolelo lohi a paʻakikī paha
  • nāwaliwali a i ʻole ka helu ʻana o ka lima a me ka wāwae

Hoʻokumu paha ʻo Dasatinib i ka ulu a hōʻeha paha o ka iwi i nā keiki. E nānā pono ke kauka o kāu keiki i ka ulu ʻana o kāu keiki ʻoiai ke lawe nei ʻo ia i ka dasatinib. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hāʻawi ʻana i kēia lāʻau i kāu keiki.


Hoʻokumu paha ʻo Dasatinib i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • fiva, ʻeha ka ʻāʻī, haʻalulu, a me / a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • pokole o ka hanu
  • puʻuwai wikiwiki
  • ʻeha poʻo
  • ʻili mae
  • huikau
  • luhi

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab a ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino iā dasatinib.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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